Organization Active NPI

Crescent Community and Care LLC

  • Assisted Living Facility
  • Brooklyn Park, MN
National Provider Identifier
1831045400
Registry record updated Mar 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CRESCENT COMMUNITY AND CARE LLC
Practice address
7525 Fremont Ave N
Brooklyn Park, MN 55444-2519
Phone
(952) 297-6087
NPI assigned
Mar 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mohamed Ahmed
Title
Authorized Agent
Phone
(952) 297-6087

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

7525 Fremont Ave N
Brooklyn Park, MN 55444-2519

Mailing address

8016 Ensign Rd # 55438
Bloomington, MN 55438-1025
Phone (952) 297-6087

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772755200000",
    "number": "1831045400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8016 ENSIGN RD # 55438",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554381025",
            "telephone_number": "952-297-6087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7525 FREMONT AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554442519",
            "telephone_number": "952-297-6087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRESCENT COMMUNITY AND CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "952-297-6087"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn Park, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.